KAISER FOUNDATION HEALTH PLAN OF COLORADO


Address: 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512
Phone: 3033384545

KAISER FOUNDATION HEALTH PLAN OF COLORADO (NPI# 1720352941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720352941
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF COLORADO
Other Organization Name KAISER PERMANENTE CASTLE ROCK MEDICAL OFFICES LABORATORY
Practice Address 4318 Trail Boss Dr
Ste 100
Castle Rock
CO 80104-7512
Mailing Address 10350 E Dakota Ave
Denver
CO 80247-1314
Practice Telephone 3033384545
Mailing Telephone 3033384545
Enumeration Date 2012-03-06
Last Update Date 2019-12-16
Authorized Official Name MICHAEL S RAMSEIER (REGIONAL PRESIDENT)
Authorized Official Telephone 3033447256
Is Organization Subpart Y
Parent Organization Name KAISER FOUNDATION HEALTH PLAN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CO 46223762 05

Other Provider/Organization Names

Other Name Type Code
Castle Rock Medical Office Laboratory Doing Business As Name - Organization
Kaiser Permanente Castle Rock Medical Offices Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386163145 Kaiser Foundation Health Plan of Colorado Clinic/Center 3537 N Brighton Blvd, Denver, CO 80216 2017-09-13
1356770440 Kaiser Foundation Health Plan of Colorado Family Medicine 15151 E Alameda Pkwy, Ste #1800, Aurora, CO 80012-1555 2013-11-08
1770911729 Kaiser Foundation Health Plan of Colorado Pharmacy 10240 Park Meadow Dr, Lone Tree, CO 80124-5425 2013-10-29
1205940921 Kaiser Foundation Health Plan of Colorado Clinic/Center 16601 E Centretech Parkway, Aurora, CO 80111 2006-08-19
1891809091 Kaiser Foundation Health Plan of Colorado Health Maintenance Organization 2500 S. Havana Street, Aurora, CO 80014-1618 2006-08-18
1053948471 Kaiser Foundation Health Plan of Colorado Clinic/Center 8383 W Alameda Ave, Lakewood, CO 80226-3007 2020-03-25
1962039388 Kaiser Foundation Health Plan of Colorado Clinic/Center 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 2020-03-25
1871120295 Kaiser Foundation Health Plan of Colorado Clinic/Center 14701 E Exposition Ave, Aurora, CO 80012-2623 2020-03-25
1740751049 Kaiser Foundation Health Plan of Colorado Clinical Medical Laboratory 2625 W Pueblo Blvd, Pueblo, CO 81004 2018-12-12
1912487810 Kaiser Foundation Health Plan of Colorado Clinic/Center 2625 W Pueblo Blvd, Pueblo, CO 81004 2018-08-20

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities KAISER FOUNDATION HEALTH PLAN OF COLORADO One Kaiser Plaza, Oakland, CA 94612

Office Location

Street Address 4318 TRAIL BOSS DR
STE 100
City CASTLE ROCK
State CO
Zip Code 80104-7512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225089980 Christine B Walden Internal Medicine 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104-7512 2006-05-15
1760909477 Amanda L Love Registered Nurse 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 2017-08-23
1174079594 Colorado Permanente Medical Group, P.C. Clinic/Center 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 2016-08-26
1265882914 Lauren Graham Dietitian, Registered 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 2016-06-14
1083900831 Kaiser Foundation Healthplan of Colorado Pharmacy 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 2011-06-21
1992012769 Kaiser Foundation Health Plan of Co Clinic/Center 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 2010-09-01
1104069376 Stuart M Prins Family Medicine 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 2009-04-16
1407033996 Laura Lee Jarrell Internal Medicine 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104-7512 2008-01-28
1811031685 David C Hahn Dermatology 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104-7512 2007-02-16
1699868240 Stephanie Renee Keene Physician Assistant 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 2006-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932737152 F2dis, Limited Liability Company Skilled Nursing Facility 1055 S. Perry Street, Castle Rock, CO 80104 2020-04-01
1518497262 Courtney Renee Mcmurtry Dental Hygienist 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 2017-06-15
1235598350 Village Physical Therapy, PC Specialist 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 2016-02-17
1730513318 Erin Evers Physical Therapist 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 2013-08-30
1730424185 Ange' Anesthesia Nurse Anesthetist, Certified Registered 157 Crosshaven Pl, Castle Rock, CO 80104 2012-12-11
1902155013 Rachel Everett Marriage & Family Therapist 831 S Perry Street, Suite 100, Castle Rock, CO 80104 2012-09-05
1922366889 Health Connections of Castle Rock, Inc. Massage Therapist 323 Metzler Dr #105, Castle Rock, CO 80104 2012-04-30
1326313255 Kate Ivey Counselor 4889 Thorndike Ave, Castle Rock, CO 80104 2012-03-10
1902106578 Gordon Talmadge Blair IIi Physical Therapist 814 S. Perry St., Suit 101, Castle Rock, CO 80104 2010-10-28
1285943936 Denise L Lucia Psychologist 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 2010-09-29
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1639778921 Denver Recovery Group LLC Clinical Medical Laboratory 56 E Arapahoe Rd, Littleton, CO 80122-8001 2020-10-19
1750990552 Centennial State Lab, LLC Clinical Medical Laboratory 651 Corporate Cir Ste 104, Golden, CO 80401-5652 2020-07-28
1750905485 303 Diagnostics, LLC Clinical Medical Laboratory 1805 S Bellaire St Ste 222, Denver, CO 80222-4313 2020-05-28
1801419387 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 1030 Johnson Rd Ste 200, Golden, CO 80401-6007 2020-05-19
1639790835 Bready Diagnostic Laboratory LLC Clinical Medical Laboratory 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 2020-04-29
1295354371 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 2020-04-09
1972138345 University Physicians Incorporated Clinical Medical Laboratory 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 2020-03-06
1164054896 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 2020-02-11
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Competitor

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City CASTLE ROCK
Zip Code 80104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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